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DR. THOMAS G MILLER PH.D.

Clinical Neuropsychologist

Portland, Maine

Provider NPI: 1720094477

Provider Information:
DR. THOMAS G MILLER PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
86 DARTMOUTH ST  PORTLAND, ME 04103 US
Tel: 207-773-7406  Fax: --

Business Mailing Address:
86 DARTMOUTH ST  PORTLAND, ME 04103 US
Tel: 207-773-7406  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MEPS1042

Other Provider Identifiers:

IssuerNumberStateType
231050000ME05
ANTHEM BC/BS PROVIDER ID035275ME01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS ME - Page 1

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